Provider Letter PL 2018-20 (Replaces PL 13-04 and PL 18-07) This letter gives directives to the following provider types: Assisted Living Facilities (ALFs), Day Activity and HealthnServices (DAHS) Facilities, Home and Community Support Services Agencies (HCSSAs), Intermediate Care Facilities for Individuals with an Intellectual Disability (ICFs/IID), Prescribed Pediatric Extended Care Centers (PPECs) Nursing Facilities (NFs) A provider (as listed above) must include in an initial … [Read more...] about Provider Letter Regarding Incident Reporting Requirements
Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Today the Centers for Medicare & Medicaid Services (CMS), in order to promote Medicaid and Medicare program efficiency, transparency, and burden reduction, proposed new rules that revise the applicable conditions of participation (CoPs) for providers and conditions for coverage (CfCs). The link of this rule will be republished in the Federal Register on Sept. 20. According to the fact sheet summary excerpt: This proposed rule would reform Medicare regulations that are identified as … [Read more...] about Medicare and Medicaid Programs – CMS, HSS Proposed Regulatory Provisions Fact Sheet
Notification Requirements in Response to an Emergency or Disaster
Provider Letter 18-16 - This Long-Term Care regulatory provider letter is to inform a Home and Community Support Services Agency (HCSSA or agency) of notification requirements for temporary agency changes in response to an emergency or disaster. The letter details provider responsibilities regarding initial or renewal application changes due to an emergency or disaster, temporarily relocation of a place of business as a result of an emergency or disaster, providing services to clients who … [Read more...] about Notification Requirements in Response to an Emergency or Disaster
$8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
The $8.6 million in State Flexibility Grants announced by the Centers for Medicare & Medicaid Services (CMS) that would be allocated to 30 states and the District of Columbia comes with the Trump Administration' approval despite recent attempts to disassemble the ACA. The funding from Obamacare, which is part of $250 million for State Rate Review Grants provided by the Patient Protection and Affordable Care Act (PPACA) to improve the process for how States review proposed health … [Read more...] about $8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
The Medicaid Review Process and Approval times are at the forefront of CMS effort to "implement changes resulting in faster processing of state requests to make program or benefit changes to their Medicaid program through the state plan amendment (SPA) and section 1915 waiver review process. According to reports, SPAs allow states to change their Medicaid program policies or operational approaches, while 1915 waivers let states develop home and community-based services for individuals who … [Read more...] about CMS Proposes Improvements in Managing the Medicaid program in Partnership with States
Palliative Care and Hospice Education and Training Act goes to Senate For Approval, May Become Law
Palliative and hospice care can improve both the quality of care and quality of life for patients who are terminally ill and their families. Now the Senate has the decision to follow the U.S. House of Representatives, which has unanimously approved a bill that would help doctors and other healthcare professional elevate their skills in providing hospice and palliative care. The H.R.1676 - Palliative Care and Hospice Education and Training Act would also increase palliative care research and … [Read more...] about Palliative Care and Hospice Education and Training Act goes to Senate For Approval, May Become Law
Trump Signs Electronic Visit Verification (EVV) Into Law
With no opposition from the House or Senate, the U.S. Senate unanimously approved legislation of the H.R.6042 bill delay the nationwide deadline for electronic visit verification (EVV) or ( in-home health service bill) in Medicaid-reimbursed personal care services until 2020. President Donald Trump signed Rep. Brett Guthrie’s health care bill into law on July 30th. According to news reports, the 21st Century Cures Act, initially signed into law in 2016 under the Obama Administration, … [Read more...] about Trump Signs Electronic Visit Verification (EVV) Into Law
Who has the greatest impact on high healthcare costs?
In a new NEJM Catalyst Buzz Survey, the question of who is the biggest driver of high healthcare costs brings physicians, healthplans, pharmacuetical & bio-tech companies under scrutiny. Doctors who have been blamed for the inflated cost of US healthcare due to expensive recommendations or overtreating patients have maintained that even though the discussion needs to be had with patients about healthcare costs, they have no power to determine the price of a drug or new healthcare … [Read more...] about Who has the greatest impact on high healthcare costs?
Annual Mandatory Training for Assisted Living Facility Manager
Long-Term Care Regulatory Provider Letter PL 18-12 (ALF) - Texas Health and Safety Code, Section 247.066(h) directs the Health and Human Services Commission (HHSC), to require that facility managers complete an annual training on aging in place and retaliation. The ALF rule is found at Texas Administrative Code, Title 40, Part 1, §92.41(f)(6). HHSC has developed a web-based training that meets this requirement. The creation of this course was required by House Bill (HB) 2109, … [Read more...] about Annual Mandatory Training for Assisted Living Facility Manager
Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
Provider Letter 18-11 - Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs to be responsible for reviewing the LSC TM and complying with the guidance provided therein. The LSC is a set of fire protection requirements designed to provide a reasonable degree of safety at Assisted Living Facilities. It covers construction, protection, and operational features designed to provide safety from fire, smoke, and panic. According to the letter and 2.0 Policy … [Read more...] about Technical Memoranda (TM) concerning prescribed Life Safety Code (LSC) standards for ALFs
